Evidence map›Paper›PMID 34350058›Full record

ArticleJournal of drug assessment2021

Vasoactive pharmacologic therapy in cardiogenic shock: a critical review.

Rasha Kaddoura, Amr Elmoheen, Ehab Badawy, Mahmoud F Eltawagny, Mohamed A Seif, Khalid Bashir, Amar M Salam

Open access · bronzeAbstract read
In one paragraph

Article in Journal of drug assessment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Observational
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Rasha KaddouraHeart Hospital Pharmacy, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0003-2613-9759
Amr ElmoheenEmergency Department, Hamad Medical Corporation, Doha, Qatar.
Ehab BadawyEmergency Department, Hamad Medical Corporation, Doha, Qatar.
Mahmoud F EltawagnyEmergency Department, Hamad Medical Corporation, Doha, Qatar.
Mohamed A SeifEmergency Department, Hamad Medical Corporation, Doha, Qatar.
Khalid BashirEmergency Department, Hamad Medical Corporation, Doha, Qatar.
Amar M SalamCollege of Medicine, QU Health, Qatar University, Doha, Qatar.ORCID https://orcid.org/0000-0003-0304-719X
Hamad Medical Corporation · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiogenic shock (CS) is an acute complex condition leading to morbidity and mortality. Vasoactive medications, such as vasopressors and inotropes are considered the cornerstone of pharmacological treatment of CS to improve end-organ perfusion by increasing cardiac output (CO) and blood pressure (BP), thus preventing multiorgan failure.

objectiveA critical review was conducted to analyze the currently available randomized studies of vasoactive agents in CS to determine the indications of each agent and to critically appraise the methodological quality of the studies.

methodsPubMed database search was conducted to identify randomized controlled trials (RCTs) on vasoactive therapy in CS. After study selection, the internal validity of the selected studies was critically appraised using the three-item Jadad scale.

resultsNine studies randomized 2388 patients with a mean age ranged between 62 and 69 years, were identified. Seven of studies investigated CS in the setting of acute myocardial infarction (AMI). The studies evaluated the comparisons of norepinephrine (NE)

conclusionsThe evidence from the studies of vasoactive agents in CS carries uncertainties. The methodological quality between the studies is variable due to the inherent difficulties to conduct a study in CS. Vasopressors and inotropes continue to have a fundamental role given the lack of pharmacological alternatives.

Indexed as

Hemodynamic measuresinodilatorinotropelevosimendanmortalitynitric oxide synthase inhibitorsvasodilatorvasopressor

Identifiers

PMID34350058
PMCPMC8293961
OpenAlexW3161949101

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.